Organization Active NPI

Susan Branham

  • Psychiatric/Mental Health Nurse Practitioner
  • Mount Pleasant, TX
National Provider Identifier
1871117580
Registry record updated May 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
SUSAN BRANHAM
Practice address
107 W 20TH St
Mount Pleasant, TX 75455-2323
Phone
(903) 575-7856
Fax
(903) 572-3407
NPI assigned
May 29, 2020
Last updated
May 29, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Susan Branham, ANP-BC, PMHNP-BCNPI 1154574747
Title
Nurse Practitioner
Phone
(903) 575-7856

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X
Psychiatric/Mental Health Nurse Practitioner 363LP0808X Primary

Addresses

Primary practice location

107 W 20TH St
Mount Pleasant, TX 75455-2323

Mailing address

107 W 20TH St
Mount Pleasant, TX 75455-2323
Phone (903) 575-7856

Other names 1

  • Susan Branham Former legal business name

National Provider Directory

National Provider Directory

Locations

107 W 20th St
Mt Pleasant, TX 75455
Phone (903) 572-8783

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1590710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590710400000",
    "number": "1871117580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 W 20TH ST",
            "city": "MOUNT PLEASANT",
            "state": "TX",
            "postal_code": "754552323",
            "telephone_number": "903-575-7856",
            "fax_number": "903-572-3407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 W 20TH ST",
            "city": "MOUNT PLEASANT",
            "state": "TX",
            "postal_code": "754552323",
            "telephone_number": "903-575-7856",
            "fax_number": "903-572-3407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN BRANHAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-29",
        "last_updated": "2020-05-29",
        "certification_date": "2020-05-29",
        "status": "A",
        "authorized_official_last_name": "BRANHAM",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "903-575-7856",
        "authorized_official_credential": "ANP-BC, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Susan Branham",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Mount Pleasant, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.